GV DELAND, LLC (NPI# 1598128837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598128837 |
| Entity Type | Organization |
| Organization Name | GV DELAND, LLC |
| Other Organization Name | GRAND VILLA OF DELAND |
| Practice Address |
350 E International Speedway Blvd Deland FL 32724-2426 |
| Mailing Address |
13770 58th St N Suite 312 Clearwater FL 33760-3759 |
| Practice Telephone | 3867385202 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | SCOTT MCINTOSH (REGIONAL MANAGER) |
| Authorized Official Telephone | 7277263980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 12792 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Grand Villa of Deland | Doing Business As Name - Organization |
| Street Address |
350 E INTERNATIONAL SPEEDWAY BLVD |
| City | DELAND |
| State | FL |
| Zip Code | 32724-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770940652 | Solaris Rehab, LLC | Clinic/Center | 350 E International Speedway Blvd, Deland, FL 32724-2426 | 2016-01-22 |
| 1659886430 | Ann Arnold | Occupational Therapist | 350 E International Speedway Blvd, Deland, FL 32724-2402 | 2017-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1811473275 | April Gustafson | Nurse Practitioner | 557 Adenmore Ter, Deland, FL 32724 | 2018-07-18 |
| 1245720820 | Total Renal Laboratories Inc | Clinical Medical Laboratory | 3000 Davita Way, Deland, FL 32724 | 2018-05-18 |
| 1790294742 | Deland Manor Assisted Living Corp | Assisted Living Facility | 245 S. Amelia Ave, Deland, FL 32724 | 2017-09-21 |
| 1639617954 | Starting Point Mental Health, LLC | Counselor | 620 East New York Ave Ste B, Deland, FL 32724 | 2017-02-07 |
| 1255877221 | Emily Eunice | Specialist/Technologist | 2589 W Lake Dr., Deland, FL 32724 | 2017-01-13 |
| 1073960357 | Robert Solomon Jr. | Family Medicine | 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 | 2016-05-17 |
| 1730535568 | Harold Alexander | Hearing Instrument Specialist | 124 S. Amelia Ave, Unit #b, Deland, FL 32724 | 2016-05-11 |
| 1720406747 | Angel Care Homes LLC | Assisted Living Facility | 1349 E. Wisconsin Avenue, Deland, FL 32724 | 2014-04-07 |
| 1508298860 | Lindenlea Assisted Living Inc. | Assisted Living Facility | 1180 Jackson Ranch Rd, Deland, FL 32724 | 2013-08-08 |
| Find all providers in zip 32724 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790294742 | Deland Manor Assisted Living Corp | Assisted Living Facility | 245 S. Amelia Ave, Deland, FL 32724 | 2017-09-21 |
| 1790154565 | Clearview Health Group | Assisted Living Facility | 1075 New St E, Deland, FL 32724-5638 | 2015-09-22 |
| 1710394168 | The Alliance Community for Retirement Living, Inc. | Assisted Living Facility | 600 S Florida Ave, Deland, FL 32720-5832 | 2014-07-17 |
| 1073927836 | Teresa N Gascon | Assisted Living Facility | 768 S Dexter Ave, Deland, FL 32720-6618 | 2014-06-19 |
| 1720406747 | Angel Care Homes LLC | Assisted Living Facility | 1349 E. Wisconsin Avenue, Deland, FL 32724 | 2014-04-07 |
| 1295159879 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1210 N Stone St, Deland, FL 32720-0915 | 2014-02-18 |
| 1215365481 | Oak Manor, Inc. | Assisted Living Facility | 1771 W Minnesota Ave, Deland, FL 32720-2645 | 2013-10-24 |
| 1275969628 | Deland Geriatric Care, Inc. | Assisted Living Facility | 208 Blue Crystal Drive, Deland, FL 32720 | 2013-09-17 |
| 1508298860 | Lindenlea Assisted Living Inc. | Assisted Living Facility | 1180 Jackson Ranch Rd, Deland, FL 32724 | 2013-08-08 |
| 1750723938 | Yvette Irizarry | Assisted Living Facility | 1526 Monroe St, Deland, FL 32720-8447 | 2013-07-29 |
| Find all providers in DELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.